Pediatric Tonsillectomy

Indications for tonsillectomy stratified by the level of evidence

“…According to the above-mentioned search strategy, 4 articles published between 2004 and 2014 matched our search criteria [37], [468], [469], [470]. The publications summarized the status of knowledge at the time of publication, however, they are written in very different ways.…”

“…The publications summarized the status of knowledge at the time of publication, however, they are written in very different ways. The most recent papers are reduced to the indications in children [468], [469], a very short article dealt with the practice in England [470]. One paper [37] does not reflect the exhaustive literature review of the co-author Mund, obtainable from his doctoral thesis [38].…”

“…18 pages describe the development, histological figures, and the immune function of the tonsils as well as information on wound healing, indications, surgical procedures, postoperative complications/morbidities and their management [468]. In the summary, Isaacson classified several aspects into 3 categories of knowledge:…”

Dental arch dimensional changes after adenoidectomy or tonsillectomy in children with airway obstruction

“…[1,23,24] In recent times, a trend toward a more restrictive criteria for adenoidectomy and tonsillectomy was evident; owing to a paradigmatic shift toward the view that the tonsil and adenoid, as lymphatic organs, played an important role in the development of primary immunologic defense system. [25,26] Additionally, it was increasingly perceived that the procedures did not warrant the risk of complications associated with surgical and postsurgical conditions. [27–29] Therefore, orthodontists and otolaryngologists need more convincing evidence to prove that adenoidectomy and tonsillectomy will have a positive effect on children with airway obstruction, implicated in incidences of mouth-breathing and dental deformity.…”

The basic principles underlying the provision of the urgent and emergency medical assistance in otorhionolaryngology

“…Токсико-аллергическая форма хронического тонзиллита (когда уже сформирова-лась хронизация) консервативно не излечима ни местны-ми, ни общими методами. Консервативно можно снять (купировать) лишь обострение хронического процесса воспаления, поскольку микрофлора в миндалинах уже создала защитные механизмы, отмеченные выше [5][6][7].…”